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PROVIDER PROFILE · NPI 1063419232

Gavin SetzenMD

PRACTICEEVERETT ROAD ASC, LLCSee all providers at this practice →
OtolaryngologyAlbany, NYI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 330057
Hospital
CCN 330180
Hospital
QUALITY · MIPS · 2024
Final MIPS score
87.8
Quality
84.3
Cost
75.7
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.54%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$67K
Payment records
44
By payment type
Consulting Fee$59K
Travel and Lodging$6K
Food and Beverage$1K
PRESCRIBING · PART D · 2024
Total Rx claims
2,487
Beneficiaries
—
Total drug cost
$84K
Distinct drugs
21
Brand share
1.3%
Top prescribed drugs
Famotidine508 claims
Fluticasone Propionate434 claims
Omeprazole379 claims
Montelukast Sodium247 claims
Ipratropium Bromide208 claims
REFERRAL NETWORK

Where Gavin Setzen's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 10 inbound referrers · 30 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY101283
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
61152
ALBANY MEDICAL CENTER HOSPITAL56191
Maggie West-Bump
Physician Assistant · Albany, NY
26124
SAMARITAN HOSPITAL OF TROY, NEW YORK2487
ELLIS HOSPITAL2167
Lawrence Kaufman
Otolaryngology · Albany, NY
1538
Robyn De Stefano
Physician Assistant · Tucson, AZ
1530
Alfonso Prieto
Clinical Cardiac Electrophysiology · Albany, NY
1450
Robert Busch
Endocrinology · Albany, NY
1246
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY100342
ALBANY MEDICAL CENTER HOSPITAL56204
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
48143
MEMORIAL HOSPITAL, ALBANY, N.Y.34101
Maggie West-Bump
Physician Assistant · Albany, NY
30132
Marcia Perretta
Audiologist · Albany, NY
2742
Dana Wilhite
Audiologist · Albany, NY
2642
SAMARITAN HOSPITAL OF TROY, NEW YORK2578
Robert Rapoport
Diagnostic Radiology · Albany, NY
2451
WESTBROOK, JANELLE2331
Nicola Petitti
Diagnostic Radiology · Albany, NY
2254
ELLIS HOSPITAL2048
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,119
Unique beneficiaries
—
Total services
8,573
Distinct HCPCS
15
Medicare payment
$141K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 677 Otolaryngology providers in NY — top quintile (cohort median 888).